CROSSTOWN DENTAL 401(K) PLAN
|
2023
|
410987936
|
2024-06-04
|
2010 DENTISTRY, P.A.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128665014
|
Plan sponsor’s
address |
2010 W. 66TH STREET, RICHFIELD, MN, 55423
|
Signature of
Role |
Plan administrator |
Date |
2024-06-04 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-06-04 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROSSTOWN DENTAL 401(K) PLAN
|
2022
|
410987936
|
2023-08-24
|
2010 DENTISTRY, P.A.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128665014
|
Plan sponsor’s
address |
2010 W. 66TH STREET, RICHFIELD, MN, 55423
|
Signature of
Role |
Plan administrator |
Date |
2023-08-24 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-08-24 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROSSTOWN DENTAL 401(K) PLAN
|
2021
|
410987936
|
2022-09-29
|
2010 DENTISTRY, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128665014
|
Plan sponsor’s
address |
2010 W. 66TH STREET, RICHFIELD, MN, 55423
|
Signature of
Role |
Plan administrator |
Date |
2022-09-29 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-29 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROSSTOWN DENTAL 401(K) PLAN
|
2020
|
410987936
|
2021-09-30
|
2010 DENTISTRY, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128665014
|
Plan sponsor’s
address |
2010 W. 66TH STREET, RICHFIELD, MN, 55423
|
Signature of
Role |
Plan administrator |
Date |
2021-09-30 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-30 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROSSTOWN DENTAL 401(K) PLAN
|
2019
|
410987936
|
2020-08-07
|
2010 DENTISTRY, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128665014
|
Plan sponsor’s
address |
2010 W. 66TH STREET, RICHFIELD, MN, 55423
|
Signature of
Role |
Plan administrator |
Date |
2020-08-06 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-06 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROSSTOWN DENTAL 401(K) PLAN
|
2018
|
410987936
|
2019-10-02
|
2010 DENTISTRY, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128665014
|
Plan sponsor’s
address |
2010 W. 66TH STREET, RICHFIELD, MN, 55423
|
|
CROSSTOWN DENTAL 401(K) PLAN
|
2017
|
410987936
|
2018-07-16
|
2010 DENTISTRY, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128665014
|
Plan sponsor’s
address |
2010 W. 66TH STREET, RICHFIELD, MN, 55423
|
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-16 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROSSTOWN DENTAL 401(K) PLAN
|
2016
|
410987936
|
2017-10-04
|
2010 DENTISTRY, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128665014
|
Plan sponsor’s
address |
2010 W. 66TH STREET, RICHFIELD, MN, 55423
|
Signature of
Role |
Plan administrator |
Date |
2017-10-04 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-04 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROSSTOWN DENTAL 401(K) PLAN
|
2015
|
410987936
|
2016-10-11
|
2010 DENTISTRY, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128665014
|
Plan sponsor’s
address |
2010 W. 66TH STREET, RICHFIELD, MN, 55423
|
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-11 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROSSTOWN DENTAL 401(K) PLAN
|
2014
|
410987936
|
2015-10-05
|
2010 DENTISTRY, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128665014
|
Plan sponsor’s
address |
2010 W. 66TH ST., RICHFIELD, MN, 55423
|
Signature of
Role |
Plan administrator |
Date |
2015-10-05 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-05 |
Name of individual signing |
FRANK MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|